Organization Active NPI

Maycare, PLLC

Doing business as Bluebonnet Primary Care

  • Family Medicine Physician
  • Round Rock, TX
National Provider Identifier
1609421247
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MAYCARE, PLLC
Doing business as
Bluebonnet Primary Care
Practice address
1000 Gattis School Rd Ste 130
Round Rock, TX 78664-2562
Phone
(512) 649-0996
Fax
(512) 387-3555
NPI assigned
Aug 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mayada Ali, MD
Title
Owner
Phone
(512) 649-0996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1000 Gattis School Rd Ste 130
Round Rock, TX 78664-2562

Mailing address

1000 Gattis School Rd Ste 130
Round Rock, TX 78664-2562
Phone (512) 649-0996

Other names 1

  • Bluebonnet Primary Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL office@bluebonnetprimarycare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191024000023 TX Part B Supplier - Clinic/Group Practice 6103158191 Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Locations

6911 Ranch Road 620 N
Bldg A300
Austin, TX 78732
Phone (512) 648-6175

1930 Rawhide Dr
Ste 404
Round Rock, TX 78681

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1609421247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 130",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642562",
            "telephone_number": "512-649-0996",
            "fax_number": "512-387-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 130",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642562",
            "telephone_number": "512-649-0996",
            "fax_number": "512-387-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MAYADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-649-0996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office@bluebonnetprimarycare.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Gattis School Rd Ste 130",
            "city": "Round Rock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786642562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bluebonnet Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluebonnet Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.